Philip Russo Petrosky, DO is a student in an organized health care education training program in Overland Park, KS. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Philip Russo Petrosky, DO NPI is 1114505419. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10500 QUIVIRA RD
OVERLAND PARK, KS
ZIP 66215-306
Phone: (913) 541-5000
Fax: (913) 541-5625
The NPI 1114505419 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/30/2021 and was last updated on 3/30/2021.